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Maternity Antepartum Nclex Questions And Answers Saunders Latest Update 2024/2025
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Maternity Antepartum Nclex Questions And Answers Saunders Latest Update 2024/2025
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Maternity(Antepartum) Nclex questions---saunders1. 3. Where fertilization occurs.
Rationale: Each fallopian tube is a hollow muscular tube that transports a mature oocyte for final
maturation and fertilization. Fertilization typically occurs near the boundary between the ampulla
and the isthmus of the tube. The vagina is the organ of copulation, and the fetus develops in the
uterus. Estrogen is a hormone that is produced by the ovarian follicles, the corpus luteum, the
adrenal cortex, and the placenta during pregnancy. Progesterone is a hormone that is secreted by
the corpus luteum of the ovary, the adrenal glands, and the placenta during pregnancy.: 1.The nurse
is collecting data from a pregnant client when the client asks the nurse about the purpose of the
fallopian tubes. Which is the accurate response the nurse should make?
1.The organ of copulation
2.Where the fetus develops
3.Where fertilization occurs
4.The organ that secretes estrogen and progesterone
2. Correct Answer: 1, 4, 5
Rationale: A gynecoid pelvis is a normal female pelvis, and it is the most favorable for successful
labor and birth. Characteristics of a gynecoid pelvis include a round shape, blunted ischial spines
that are widely separated, a diagonal conjugate of at least 12.5 cm to 13 cm, a wide pelvic arch, and
an adequate depth.: 2.The nurse working in a prenatal clinic reviews a client's chart and notes that
the primary health care provider documents that the client has a gynecoid pelvis. The nurse plans
care understanding that which findings are characteristic of this type of pelvis? Select all that
apply.
1.Round shape
2.Shallow depth
3.Narrow pubic arch
4.Diagonal conjugate measures 12.5 cm to 13 cm
5.Blunt, somewhat widely separated ischial spines
3. 4. Provides an exchange of nutrients and waste products between the mother and the fetus
Rationale: The placenta provides an exchange of nutrients and waste products between the mother
and the fetus. The amniotic fluid surrounds, cushions, and protects the fetus and allows for fetal
movement. The amniotic fluid also maintains the body temperature of the fetus.: 3.The client asks
the nurse about the purpose of the placenta. The nurse plans to respond to the client knowing which
about the placenta?
1.Cushions and protects the fetus
, Maternity(Antepartum) Nclex questions---saunders
2.Maintains the body temperature of the fetus 3.Surrounds the fetus and allows for fetal
movement 4.Provides an exchange of nutrients and waste products between the mother and the
fetus
4. 2. Two umbilical arteries and one umbilical vein
Rationale: Blood pumped by the fetus's heart leaves the fetus through two umbilical arteries. After
the blood is oxygenated, it is then returned by one umbilical vein. The umbilical arteries carry
deoxygenated blood and waste products from the fetus, and the umbilical vein carries oxygenated
blood and provides oxygen and nutrients to the fetus.: 4.The nurse is describing the process of fetal
circulation to a client during a prenatal visit. The nurse should tell the client that fetal circulation
consists of which components?
1.Two umbilical veins and one umbilical artery
2.Two umbilical arteries and one umbilical vein 3.Arteries that carry oxygenated blood to the fetus
4.Veins that carry deoxygenated blood to the fetus
5. 3.Connects the umbilical vein to the inferior vena cava
Rationale: The ductus venosus connects the umbilical vein to the inferior vena cava. The foramen
ovale is a temporary opening between the right and left atria. The ductus arteriosus joins the aorta
and the pulmonary artery.: 5.A nursing student is assigned to a client in labor. The nursing instructor
asks the student to describe fetal circulation, specifically the ductus venosus. The instructor
determines that the student understands the structure of the ductus venosus if the student states
which about the ductus venosus?
1.Connects the pulmonary artery to the aorta
2.Is an opening between the right and left atria 3.Connects the umbilical vein to the inferior vena
cava 4.Connects the umbilical artery to the inferior vena cava
6. 3. 150 beats per minute
Rationale: Fetal heart rate depends on gestational age. It is normally 160 to
170 beats per minute during the first trimester, but it slows with fetal growth to
110 to 160 beats per minute near or at term.: 6.During a prenatal visit, the nurse checks the fetal
heart rate (FHR) of a client in the third trimester of pregnancy. The nurse determines that the FHR
is normal if which heart rate is noted?
1.80 beats per minute
2.100 beats per minute
3.150 beats per minute
4.180 beats per minute
, Maternity(Antepartum) Nclex questions---saunders
7. 3.It stimulates uterine development to provide an environment for the fetus and stimulates the
breasts to prepare for lactation.
Rationale: Estrogen stimulates uterine development to provide an environment for the fetus and it
stimulates the breasts to prepare for lactation. Progesterone maintains the uterine lining for
implantation and relaxes all smooth muscle. Human placental lactogen stimulates the metabolism of
glucose and converts the glucose to fat. Human chorionic gonadotropin prevents the involution of the
corpus luteum and maintains the production of progesterone until the placenta is formed.: 7.The
nurse is reinforcing teaching to a pregnant woman about the physiological effects and hormonal
changes that occur during pregnancy. The woman asks the nurse about the purpose of estrogen.
The nurse bases the response on which purpose of estrogen?
1.It maintains the uterine lining for implantation.
2.It stimulates the metabolism of glucose and converts glucose to fat.
3.It stimulates uterine development to provide an environment for the fetus and stimulates the
breasts to prepare for lactation.
4.It prevents the involution of the corpus luteum and maintains the production of progesterone
until the placenta is formed.
8. 2. " Do you plan to have any other children?"
Rationale: Sterilization is a method of contraception for couples who have completed their families.
It should be considered a permanent end to fertility because reversal surgery is not always
successful. The nurse would ask the couple about their plans for having children in the future.
Options 1, 3, and 4 are unrelated to this procedure.: 8.A couple comes to the family planning clinic
and asks about sterilization procedures. Which question by the nurse helps determine whether
this method of family planning is appropriate?
1."Have either of you ever had surgery?"
2."Do you plan to have any other children?"
3."Do either of you have diabetes mellitus?"
4."Do either of you have problems with high blood pressure?"
9. 2. July 27. 2020
Rationale: The accurate use of Nägele's rule requires that the woman have a regular 28-day menstrua
cycle. Subtract 3 months from the first day of the last menstrual period, add 7 days, and then adjust
the year as appropriate. In this case, the first day of the LMP was October 20, 2019. When you subtract
3 months, you get July 20, 2019. If you add 7 days, you get July 27, 2019. Add 1 year to this, and you
get the estimated date of birth: July 27, 2020.: 9.The client arrives at the prenatal clinic for her first
prenatal assessment. The client tells the nurse that the first day of her last menstrual period (LMP)
was October 20, 2019. Using Nägele's rule, the nurse determines the estimated date of birth is
which date?
, Maternity(Antepartum) Nclex questions---saunders
1.July 12, 2020
2.July 27, 2020
3.August 12, 2020
4.August 27, 2020
10. 4. 16 and 20 weeks' gestation
Rationale: Quickening is fetal movement that usually first occurs between 16 and 20 weeks' gestation
The expectant mother first notices subtle fetal movements during this time, and these gradually
increase in intensity. Options 1, 2, and 3 are incorrect; these gestational time frames are too early for
quickening.: 10. A pregnant client asks the nurse in the clinic when she will be able to start feeling
the fetus move. The nurse responds by telling the mother that fetal movements will be noted
between which weeks of gestation?
1.6 and 8 weeks' gestation
2.8 and 10 weeks' gestation
3.10 and 12 weeks' gestation
4.16 and 20 weeks' gestation
11. 2. G=2, T=1, P=0,A=0, L=1
Rationale: Pregnancy outcomes can be described with the GTPAL acronym: G = gravidity (number of
pregnancies); T = term births (number born after
37 weeks); P = preterm births (number born before 37 weeks' gestation); A
= abortions/miscarriages (number of abortions/miscarriages); L = live births
(number of live births or living children). Therefore, a woman who is pregnant with twins and who
already has a child has a gravida of 2. Because the child was delivered at 38 weeks, the number of
preterm births is 0, and the number of term births is 1. The number of abortions is 0, and the number
of live births is 1.: 11.The nurse is collecting data from a client who is pregnant with twins. The
client has a healthy 5-year-old child who was delivered at 38 weeks, and she tells the nurse that she
does not have a history of any type of abortion or fetal demise. The nurse should document which
as the GTPAL for this client?
1.G = 3, T = 2, P = 0, A = 0, L = 1
2.G = 2, T = 1, P = 0, A = 0, L = 1
3.G = 1, T = 1, P = 1, A = 0, L = 1
4.G = 2, T = 0, P = 0, A = 0, L = 1
12. 2. Gravida II, para I
Rationale: Gravida is a term that refers to a woman who is or who has been pregnant, regardless of
the duration of the pregnancy. Parity is a term that means the number of births after 20 weeks
gestation; it does not reflect the number of fetuses or infants. Options 1, 3, and 4 are incorrect on the
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